Maria Gloria Rabin-Go, M.D.
Individual provider Active NPI Internal Medicine Physician · Boaz, AL
NPI 1316045586 · NPPES record last updated Mar 29, 2019
Key facts
- NPI
- 1316045586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 00021708 (AL)
- Practice address
- 603 Medical Center Pkwy
Boaz, AL 35957-5937 - Phone
- (256) 558-6000
- Fax
- (800) 541-9612
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101209000988 | AL | Practitioner - Internal Medicine | 9234326737 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00021708 | AL | MD | Internal Medicine Physician |
| 21708 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Medical Corporation PC | Internal Medicine | Current |
Accepting new patients |
| Go Medical Corporation PC | Past |
Accepting new patients |
Locations
603 Medical Center Pkwy
Boaz, AL 35957
Phone (256) 558-6000
Interoperability endpoints
- maria.rabin.gomedicalgroup@gmg.direct.systemedx.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21708 | AL | |
| Internal Medicine Physician | 207R00000X | 00021708 | AL | Yes |
Addresses
Primary practice location
603 Medical Center Pkwy
Boaz, AL 35957-5937
Mailing address
603 Medical Center Pkwy
Boaz, AL 35957-5937
Phone (256) 558-6000
Other practice location 1
3442 US Highway 431
Albertville, AL 35950-0203
Phone (256) 593-1234 ext. 112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00046348 | Medicaid | AL |
Other providers in Boaz, AL
- Ryleigh Breanna Prickett
- Kayla Pruitt
- Quirino Lim Pua
- Purpose Path ABA
- Quality of Life Health Services, Inc
- Renewed Behavioral Health & Wellness LLC
- David Michael Robbins
- Jeffrey Wayne Roberson
- Jeffrey Clay Roberts
- Jill Bethany Roberts
All providers in Boaz, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.